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Organization

BLECKLEY COUNTY HOSPITAL

Active
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Organization

BLECKLEY COUNTY HOSPITAL

Active
Other names
Bleckley Memorial Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICOLE NOBLES PAULK RN, MSN (CEO)
(478) 934-6211
Entity
Organization

Contact information

Practice address
145 E PEACOCK ST, COCHRAN, GA 31014-7846
(478) 934-6211
Mailing address
PO BOX 536, 145 EAST PEACOCK STREET, COCHRAN, GA 31014-0536
(478) 934-6211

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
261QI0500X
Infusion Therapy Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
282NC0060X
Critical Access Hospital
Primary
012-233
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000195A
GA
01
115917
PEACHSTATE
GA
01
271242
WELLCARE
GA
Enumeration date
11/20/2006
Last updated
08/12/2026
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